TANIYAMOL JOSEPH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

ACTIVE

Business

First Name

TANIYAMOL

Last Name

JOSEPH

Prefix

Business Name

TANIYAMOL JOSEPH

Original Issue Date

07/15/2020

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

WAUKEGAN

State

Zip

60085

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026